Blakely, Charles Adams

Blakely, Charles Adams is an individual health care provider with primary practice located at Fort Defiance Indian Hospital Corner Route N7 And N12, Fort Defiance AZ 86504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Blakely, Charles Adams can be contacted via phone (928) 729-8600.

Contact Information

Primary practice address
Fort Defiance Indian Hospital Corner Route N7 And N12 Fort Defiance AZ 86504
Phone: (928) 729-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 22395 Colorado

Profile Details

NPI number 1427119502
LBN Legal business name Blakely, Charles Adams
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427119502 NPPES
New Mexico Other 000R4843 NM MED
New Mexico Other 638679 NM MED

Popular Providers